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Individual

SHANTA MATHIS-MCWHORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 HOPE LN, GREENSBORO, GA 30642-4313
(706) 816-6018
Mailing address
1010 HOPE LN, GREENSBORO, GA 30642-4313
(706) 816-6018

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN208865
GA

Other

Enumeration date
09/22/2023
Last updated
09/22/2023
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